NPI | 1912167099 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDY MARIE SMITH CEO 928-783-2427 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC6323) |
Enumeration Date | 2008-06-12 |
Last Update Date | 2014-08-11 |